Rolla Ophthalmology Associates, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2000158329 Issued in MO

Legal business name

ROLLA OPHTHALMOLOGY ASSOCIATES, INC

Practice address

720 S Bishop Ave
Rolla, MO 65401-4317

Phone

(573) 364-5600

NPI assigned

Nov 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ifeanyi Samuel Orizu Sr., M.DNPI 1548283930

Title

President

Phone

(573) 364-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: iorizu@rolla.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ifeanyi Samuel Orizu Sr., MD

  • Ophthalmology Physician
  • Rolla, MO
  • NPI 1548283930
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258848000000",
    "number": "1275861759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014317",
            "telephone_number": "573-364-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014317",
            "telephone_number": "573-364-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA OPHTHALMOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A",
        "authorized_official_last_name": "ORIZU",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-364-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2000158329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rolla Neurology, Pain & Sleep, LLC
• Rolla Optical
• Rolla Public Schools
• Rolla Radiology Group, LLC
• Rolla Residential, LLC (Parkside Memory Care)
• Rolla Residential, LLC (Parkside Assisted Living)

• Ophthalmology Physician in Rolla, MO
• Providers in Rolla, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.